DR. SHAWN E REESE DDS MS PC NPI 1700971538

NPI Information

NPI: 1700971538
Provider Name: DR. SHAWN E REESE, DDS MS PC
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

PECOS Registration: Yes

Address:
3434 KIMBALL AVENUE
WATERLOO, IA
ZIP 50702
Phone: (319) 236-0861
Get Directions

DR. Shawn E Reese, DDS MS PC is a periodontics dentist in Waterloo, IA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Shawn E Reese, DDS MS PC NPI is 1700971538. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3434 KIMBALL AVENUE
WATERLOO, IA
ZIP 50702
Phone: (319) 236-0861
Fax: (319) 236-0410

The NPI 1700971538 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0300X	Dentist	Periodontics	08003	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	23960	OTHER	IOWA	BCBS
2	0200550	MEDICAID	IOWA
3	64004970	OTHER	ALABAMA	BCBS
4	18831	MEDICARE ID-TYPE UNSPECIFIED	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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